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General NPI Number Information
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NPI Number | 1659372977
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Entity Type | Organization
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Legal Business Name | GRAND VIEW CARE CENTER INC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 620 GRAND VIEW AVE
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City | BLAIR
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State | WI
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Zip | 54616
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Country | US
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Telephone | 608-989-2511
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Fax | 608-989-2679
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Provider Business Mailing Address
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Address Line | PO BOX 27
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City | BLAIR
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State | WI
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Zip | 54616-0027
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Country | US
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Telephone | 608-989-2511
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Fax | 608-989-2679
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LEAH KATHERINE STEELE
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Credential | NHA
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Telephone | 608-989-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2893
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License Number State | WI
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